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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1483466



Case Details

VAERS ID: 1483466 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-20
Onset:2021-07-03
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Skin discolouration
SMQs:, Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021831758

Write-up: the bend same arm she got the injection, it is a little bit a colored that''s almost like a bruise but it''s not a bruise.; This is a spontaneous report from a contactable consumer (Patient''s parent). A 15-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0181), via an unspecified route of administration in deltoid left (left upper arm) on 20Jun2021 (at the age of 15 years old) as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. Reporter stated trying to figure out, her daughter got her first dose Pfizer vaccine on 20Jun2021 and she scheduled to get by next sunday to get her second dose but last night or now this morning on 03Jul2021 she has like a knot or spot on her arm right towards the bend same arm she got the injection, it is a little bit a colored that''s almost like a bruise but it''s not a bruise. Not at the injection site it''s further down and today marks the second week she got it on two weeks ago and again it just popped up this morning and again don''t know if we need to be concerned or not. Reporter was worried about that color on her arm. Reporter had no idea about treatment received for the problem. The outcome of event was not resolved.


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